| NPI | 1831762962 |
|---|---|
| Former Name | CHELSEA IRENE VIRGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016852) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27386) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2024-05-22 |